IN THE COURT OF COMMON PLEAS OF LEHIGH COUNTY, PENNSYLVANIA

CIVIL DIVISION

:
:
Plaintiff	:
vs.	:	File No.
:
:
Defendant	:

COMPLAINT

1. Plaintiff,	, is a citizen of Pennsylvania residing at
(Name)
(Address)	(City)	(State/zip)	(County)
2. The Defendant	, is a citizen of Pennsylvania residing at
(Name)
(Address)	(City)	(State/zip)	(County)
3.

WHEREFORE, the Plaintiff, , ask for a judgement against defendant in the amount of .

Print Name:

Signature:
Address:

Phone:

Fax:

Date:
Plaintiff

2

IN THE COURT OF COMMON PLEAS OF LEHIGH COUNTY, PENNSYLVANIA

Rachel A Wotring

2016-09-26

Lehigh County